Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
Rio Grande State Center
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GARNETT (PROGRAM SUPERVISOR)
(512) 913-1580
Entity
Organization
Contact information
Practice address
1401 S RANGERVILLE RD, HARLINGEN, TX 78552-7638
(956) 364-8000
(956) 364-8245
Mailing address
4110 GUADALUPE ST, HOSPITAL REVENUE MGMT-MC2023, AUSTIN, TX 78751-4223
(512) 206-5284
(512) 206-5302
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
183500000X
Pharmacist
—
—
2084P0005X
Neurodevelopmental Disabilities Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212193-01
—
TX
05
—
0212193-03
—
TX
05
—
02312193-02
—
TX
05
—
0845315-01
—
TX
01
—
4521642
PHARMACY NCPDP NUMBER
TX
01
—
HH3020
BCBS DRUG ALCOHOL
TX
01
—
HH4992
BCBS PSYCHIATRIC
TX
Enumeration date
11/16/2006
Last updated
01/31/2024
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